Unmet needs in patients with first-episode schizophrenia: a longitudinal perspective

Landolt, Karin; Rössler, Wulf; Burns, Tom; Ajdacic-Gross, Vladeta; Galderisi, Silvana; Libiger, Jan; Derks, Eske M.; Kahn, René S.; Fleischhacker, W. Wolfgang

doi:10.1017/s0033291711002406

Cited by 25 publications

(44 citation statements)

References 51 publications

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“…In the only longitudinal study published so far on the needs of first-episode schizophrenia patients, results showed that daily activities, psychotic symptoms, psychological stress, and social integration were most frequently reported as unmet needs. In the follow-up, second-generation medication showed no effect on the course of unmet needs 92. Antipsychotic treatment alone was not sufficient to account for the psychosocial needs of patients.…”

Section: Unmet Psychosocial and Economic Needsmentioning

confidence: 87%

Unmet needs in the management of schizophrenia

Torres-González¹,

Ibanez-Casas²,

Saldivia³

et al. 2014

NDT

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Studies on unmet needs during the last decades have played a significant role in the development and dissemination of evidence-based community practices for persistent schizophrenia and other severe mental disorders. This review has thoroughly considered several blocks of unmet needs, which are frequently related to schizophrenic disorders. Those related to health have been the first block to be considered, in which authors have examined the frequent complications and comorbidities found in schizophrenia, such as substance abuse and dual diagnosis. A second block has been devoted to psychosocial and economic needs, especially within the field of recovery of the persistently mentally ill. Within this block, the effects of the current economic difficulties shown in recent literature have been considered as well. Because no patient is static, a third block has reviewed evolving needs according to the clinical staging model. The fourth block has been dedicated to integrated evidence-based interventions to improve the quality of life of persons with schizophrenia. Consideration of community care for those reluctant to maintain contact with mental health services has constituted the fifth block. Finally, authors have aggregated their own reflections regarding future trends. The number of psychosocial unmet needs is extensive. Vast research efforts will be needed to find appropriate ways to meet them, particularly regarding so-called existential needs, but many needs could be met only by applying existing evidence-based interventions. Reinforcing research on the implementation strategies and capacity building of professionals working in community settings might address this problem. The final aim should be based on the collaborative model of care, which rests on the performance of a case manager responsible for monitoring patient progress, providing assertive follow-up, teaching self-help strategies, and facilitating communication among the patient, family doctor, mental health specialist, and other specialists.

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Section: Unmet Psychosocial and Economic Needsmentioning

confidence: 87%

Unmet needs in the management of schizophrenia

Torres-González¹,

Ibanez-Casas²,

Saldivia³

et al. 2014

NDT

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“…These familial differences between the genders could be attributed to cultural gender role expectations, higher levels of conflict and fear in families of men due to their higher aggression rates (Leung & Chue, 2000), and greater attribution of self-blame and guilt in parents of early onset males (Seeman, 2004). With the onset of psychotic illness, further social deterioration is common, particularly in the first few years (an der Heiden & Häfner, 2000): the EUFEST study has identified daytime activities and social integration as amongst the greatest unmet needs in psychosis (Landolt et al, 2012).…”

Section: Social Differencesmentioning

confidence: 99%

Sex and schizophrenia: a review of gender differences

Falkenburg

Tracy

2012

Psychosis

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Gender differences in schizophrenia have been noted since conceptualisation of the illness. Female onset is typically later, with a second peak post-menopause. Whilst incidence is higher in men, prevalence does not differ. Research has explored possible biopsychosocial causes of these differences. Evidence for genetic and neurodevelopmental factors is weak but support has garnered for the "estrogen hypothesis," which emphasises the possible neuroprotective effect of estrogen in women. Differences have also been attributed to a differing psychological vulnerability between men and women based on symptomatology: "negative" symptoms are more common in men, whilst "positive" symptoms differ in content between the genders. Social factors might also play a role: whilst women experience more sexual assault, socioeconomic disadvantage and provide more care for dependents, men experience less familial engagement and more environmental hostility. The relevance of gender differences in schizophrenia has meaning beyond academic interest, since they can affect treatment: recent research has, for instance, begun to explore the efficacy of estrogen therapy. The aetiology of gender differences in schizophrenia is only partially understood and more research is needed to elucidate the causal roles of Biopsychosocial factors: understanding these will ultimately improve the treatment of all who suffer from this serious mental illness.

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“…; Landolt et al . ; Schlithler et al . ), with one additional article meeting criteria for Part B, but not Part A (Landolt et al .…”

Section: Resultsmentioning

confidence: 99%

“…The term ‘need’ has been defined in healthcare contexts as a ‘prerequisite for maintaining or restoring an acceptable level of social independence and quality of life’ (Landolt et al . , p;.1462; McCrone et al . ).…”

Section: Introductionmentioning

confidence: 98%

Needs of individuals recovering from a first episode of mental illness: A scoping review

Davies

Gordon

Pelentsov

et al. 2018

Int J Mental Health Nurs

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Central to the role of mental health clinicians is the assessment of needs. A number of assessment tools have been used to evaluate the needs of individuals diagnosed with a mental illness. These tools have largely been developed for people with a severe and persistent mental illness and may not be suitable for individuals who are recovering from a first episode of mental illness. The aims of this review were therefore to identify the needs experienced by individuals recovering from a first episode of mental illness; determine what tools have been used to evaluate these needs; and explore whether existing tools adequately reflect the needs described in the literature. Twenty-one articles were included, comprising articles which identified needs (n = 10), needs assessment tools (n = 1), or articles which identified both needs and a needs assessment tool (n = 10). Results indicate that individuals who have been admitted to a specialized mental health unit and are recovering from a first episode of mental illness may experience an extensive range of needs, spanning emotional, psychological, social, informational, functional, practical, and relationship needs. Four established needs assessment tools were found to have been used to evaluate these needs; however, these do not appear to represent all needs discovered in this review, were mostly developed for populations with a long-term mental illness, and may not be suitable for assessing the needs of individuals recovering from a first episode of mental illness following a presentation to a specialized mental health unit.

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Unmet needs in patients with first-episode schizophrenia: a longitudinal perspective

Cited by 25 publications

References 51 publications

Unmet needs in the management of schizophrenia

Unmet needs in the management of schizophrenia

Sex and schizophrenia: a review of gender differences

Needs of individuals recovering from a first episode of mental illness: A scoping review

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